No. I have to look it up to be certain but I believe that MS did not want to patch CPU microcode during boot and tried to leave that to the firmware. But - I may be wrong here - this stance changed with Spectre and Meltdown and Windows does indeed patch microcode during boot on affected CPUs. However, I don't think there is a way to apply a user-specified patch. The update has to come from MS.
Microcode is stored in volatile memory on the CPU. Updates are applied on boot, every boot. "Downgrading" is as simple as not applying updates, or applying an older update.
Loading microcode on a CPU (without patching the firmware) takes effect immediately. The update is lost immediately upon reboot and must be reapplied each time.